Treating BPD Series Ep 2: Transference-Focused Psychotherapy—From Splitting to Coherence with Frank Yeomans, MD, PhD
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 • 524 Ratings
🗓️ 16 April 2026
⏱️ 41 minutes
🧾️ Download transcript
Summary
Dr. Frank Yeomans is an Adjunct Associate Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians and Surgeons. He is one of the developers of Transference-Focused Psychotherapy (TFP). In this episode, he offers a deep dive into the theory and clinical practice of TFP as a treatment for Borderline Personality Disorder. Drawing on object relations theory, Dr. Yeomans explains how BPD is understood through the lens of identity integration and split internal representations, and walks clinicians through the full arc of TFP treatment — from thorough assessment and diagnostic feedback, through contracting and frame-setting, to active intervention using clarification, confrontation, and interpretation. He also addresses the clinical use of countertransference as a window into the patient's internal world, signs of therapeutic progress, and how object relations principles can be applied even outside a formal TFP frame.
Published On: 4/16/2026
Duration: 40 minutes, 21 seconds
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Hi, everyone, and welcome back to the Carlott Psychotherapy Podcast. |
| 0:04.1 | This is the second episode in our Borderline Personality Disorder series, |
| 0:07.4 | where we're exploring the range of evidence-based treatments for BPD |
| 0:10.2 | to help clinicians better understand the interventions available. |
| 0:18.1 | I'm your host, Abigail Rossel, |
| 0:19.9 | and today I'm joined by the one and only Dr. Frank Yomans to discuss |
| 0:23.1 | transference-focused psychotherapy, an often lesser-known yet highly effective treatment for |
| 0:28.0 | borderline personality disorder. Dr. Yomans is one of the developers of TFP and has played a central |
| 0:33.5 | role in expanding its clinical use through the co-authorship of treatment manuals, clinician |
| 0:37.4 | training, and supervision. He's a clinical professor of psychiatry at Welle Cornell Medical |
| 0:42.4 | College, director of training at the Personality Disorders Institute at Welle Cornell, and director |
| 0:47.6 | of the Personality Studies Institute in Manhattan, amongst many other roles. He's also the president |
| 0:52.9 | of the International Society of Transference |
| 0:55.0 | Focus Psychotherapy. Dr. Yomans has devoted his career to advancing evidence-based psychodynamic psychotherapies |
| 1:01.3 | for personality disorders, and so it truly is an honor to have him here with us today to discuss this |
| 1:06.0 | very important work. So welcome, Dr. Yelmans. Thank you so much for joining us. Thank you. And I do want to thank |
| 1:12.8 | people for listening because, along with everything else, I'm a big advocate for people who |
| 1:18.5 | suffer from BPD, and there just aren't enough clinicians. So anybody's interested in helping |
| 1:24.2 | this patient population is doing a great service. So I'd like to start off by |
| 1:30.2 | just speaking a little bit about how Transference-focused psychotherapists conceptualize of |
| 1:35.2 | personality, personality disorders, and how that understanding sets the stage for the model of |
| 1:42.0 | transference-focused psychotherapy. That's a good place to start because if our goal is to help people with |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Pocket Psychiatry: A Carlat Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Pocket Psychiatry: A Carlat Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.

